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Home My WebLink AboutBuilding Permit #148-12 - 31 BRIDGES LANE 8/12/2006 i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �� Date Received l� Date Issued: ,- EWPORTANT:Applicant must complete all items on this page LOCATION � I ^ V Print PROPERTY OWNER Ljzg G Unit# Print MAP NO: /I ARCEL:�, ZONING DISTRICT: Historic District yesa Machine Shop Village yes 100 year-old structure yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other :_ -+F ..'p,Septic''r❑Wiell ❑Floodplain ❑ Wetlands ❑ ^WatershedDistnct Water/Se_wer t " " _ DESCRIPTION OF WORK TO BE PERFORMED: g v, Identification Please Type.or PrintClearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ 0 � Check No.: ' 1 Receipt No.: NOTE: P o c sting with unregistered contractors do not have access to the guaranty fund -_ af'Ygaeri ner `sls�natt��e of contractor -- - - � ..s.-�.r►;t,�1.'�..-.rte.,- .r.a.m.,F��:�"--..,"�,+ZFv-is::w.s—Pfi'-i.--� Location w t lw--7� No. �' Date " TOWN OF NORTH ANDOVER O r M dot Certificate of Occupancy $ 7ss,K ,.1 Building/Frame Permit Fee $ ) 2(.-) Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # _ 244 9 2 Building Inspector i' Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ i TYPE OF SEWERAGE DISPOSAL Public Sewer El Tanning/Massage/Body Art ❑ Swimming Pools El Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ :❑ COMMENTS CONSERVATION Reviewed on 1 I I Signature y I COMMENTS �a, ,-cL W N A l O D HEALTHReviewed on Si nature n COMMENTS S` l Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes i L Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Dafe Driveway Permit i f DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of ` Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use Notified for pickup - Date Doc:.Building permit Revised 2011 June/mi I Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require.sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ .Two Sets of Building Plans One To Be Returned to Include Sprinkler Plan And ( ) P Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign of from Fire Department prior to issuance of Bldg Permit In all cases if a variance orspecial permit was required the Town Clerks office must stampthe decision from the Board of Appeals that the appeal period is ove . The pplicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc-Building Permit Revised 2008mi 1� NORTH TO" Of o 1" No. (Ct o , dover, Mass., Q '•- LAKE COCHICHEWICK V 40/'ATED PP�t'`C;1 BOARD OF HEALTH Food/Kitchen Septic System "PER M IT .' ' T D �� T BUILDING INSPECTOR THIS CERTIFIES THAT.....4w(4.00!!........................b!!! ......... 1...0.......................... ................................................... Foundation .has permission to erect....... ............................... buildings on .....3. ........ .4...... ...............,................................ Rough to be occupied as.............. � ............ ...�..............��.�. ......�!!�.�. !� ..... C ney him provided that the person accepting this permit shall in every respect conform to the terms of the application on fil in Final, this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MO THIS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI ARTS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE.DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.